Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $977.24 / $3,801.89	Facility		$102.33	$977.24	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $190.55 / $446.68	Professional		$74.13	$190.55	$446.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	50	$741.31	$741.31	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $416.87	Professional		$93.33	$186.21	$416.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $173.78 / $512.86	Professional	50	$173.78	$173.78	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $223.87	Professional		$57.54	$69.18	$223.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $87.10 / $104.71 / $338.84	Professional	50	$87.10	$104.71	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $134.90	Facility		$77.62	$104.71	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $128.82	Professional		$85.11	$104.71	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $1,318.26	Facility		$144.54	$144.54	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $251.19 / $1,096.48	Professional		$89.13	$251.19	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $331.13	Professional		$77.62	$162.18	$331.13